Clover Health

Clover Health

Medicare Advantage insurer with personalized care

Overview

Clover Health provides Medicare Advantage plans for seniors in the United States, offering coverage that goes beyond traditional Medicare. Its services include personalized care, fitness memberships, home checkups, drug coverage, and Medigap insurance, with revenue coming from member premiums and Medicare reimbursements. The product works by enrolling members in Medicare Advantage and delivering added benefits through a network of healthcare providers and fitness centers, plus home visits and proactive support to manage health. The company differentiates itself with a focus on tailored, attentive care and a growing provider network to enhance member benefits, aiming to improve health outcomes. Its primary goal is to help seniors stay healthier and reduce out-of-pocket costs by combining comprehensive coverage with personalized services.

About Clover Health

Simplify's Rating
Why Clover Health is rated
C+
Rated C on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Financial Services

Healthcare

Company Size

501-1,000

Company Stage

IPO

Headquarters

Nashville, Tennessee

Founded

2014

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Simplify's Take

What believers are saying

  • Second-quarter 2026 revenue hit $743.2 million, up 56%, and guidance rose again.
  • Membership reached 157,309 in Q2 2026, while adjusted EBITDA climbed to $41 million.
  • Clover ended Q2 2026 with $443 million cash and no debt, extending runway.

What critics are saying

  • CMS appealed Clover’s star-rating win on July 21, 2026, risking future bonus payments.
  • The July 4, 2026 breach exposed member PHI through social-engineered employee accounts.
  • Heavy reliance on two states leaves Clover vulnerable if competitors outbid or outscore it.

What makes Clover Health unique

  • Clover Assistant ties physician workflows to member outcomes, not generic health-plan administration.
  • Clover concentrates on New Jersey and Georgia, building local operating density and discipline.
  • Its 2026 star-rating litigation forced CMS to recalculate 2027 payment-year scores to 4.5.

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Funding

Total Funding

$2.4B

Above

Industry Average

Funded Over

8 Rounds

Notable Investors:
Post IPO Equity funding comparison data is currently unavailable. We're working to provide this information soon!
Post IPO Equity Funding Comparison
Coming Soon

Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Company Match

Performance Bonus

Unlimited Paid Time Off

Remote Work Options

Parental Leave

Professional Development Budget

Phone/Internet Stipend

Stock Price

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

0%

2 year growth

-1%
Yahoo Finance
Aug 14th, 2026
Clover Health beats Q2 estimates with $743M revenue, raises full-year guidance as AI platform drives growth

Clover Health reported second-quarter results that exceeded analyst expectations, with revenue of $743.2 million beating estimates by 2% and adjusted EBITDA of $40.92 million surpassing forecasts by 34.7%. The Medicare Advantage insurer's membership grew to 157,309, up from 155,773 in the previous quarter. CEO Andrew Toy attributed the performance to the company's Clover Assistant AI platform and disciplined market focus in New Jersey and Georgia. He emphasised that "better clinical care leads to stronger cohort economics." The company raised its full-year revenue guidance to $2.96 billion from $2.87 billion, a 3.3% increase. EBITDA guidance of $77.5 million exceeded analyst estimates of $58.44 million. Operating margin improved to 3.8%, up from negative 2.2% in the same quarter last year. Management credited favourable medical cost trends and improved operating leverage.

Yahoo Finance
Aug 13th, 2026
Clover Health grows MA membership 48% while boosting net income $67M in first half of 2026

Clover Health reported strong performance in the first half of 2026, with Medicare Advantage membership growing 48% and GAAP net income increasing by $67 million year-over-year. Chief executive officer Andrew Toy highlighted the company's focus on using AI to improve physician decision-making through its Clover Assistant platform. The earnings call, held on 5 August 2026, emphasised how technology-driven improvements in patient care can drive both membership growth and profitability simultaneously. Toy stated that Clover's approach centres on helping physicians make better decisions for individual patients, rather than simply making the healthcare system marginally more efficient. The results demonstrate the company's progress in scaling its AI-assisted healthcare model across its Medicare Advantage business.

Yahoo Finance
Aug 6th, 2026
Clover Health raises 2026 outlook as Medicare membership surges 48% to 157K

Clover Health reported strong second-quarter results, with Medicare Advantage membership rising 48% year-over-year to 157,000 and revenue growing 56% to $743 million. The company generated $41 million in adjusted EBITDA and $28 million in GAAP net income, ending the quarter with $443 million in cash and no debt. The health insurer raised its full-year 2026 outlook for membership, revenue, gross profit, adjusted EBITDA and GAAP net income. Management expects positive adjusted EBITDA in the third quarter but anticipates a seasonal loss in Q4. Consolidated gross profit reached $153 million, up 54% from last year. All members are now enrolled in plans rated 4.5 stars for the 2027 payment year, though the Centers for Medicare & Medicaid Services plans to appeal the related court decision.

Yahoo Finance
Aug 5th, 2026
Clover Health revenue jumps 55.6% to $743M, beats Q2 estimates and raises full-year guidance

Clover Health reported second-quarter revenue of $743.2 million, beating analyst estimates of $728.2 million and marking 55.6% year-on-year growth. The health insurance company's shares rose 10.3% following the announcement. The company posted GAAP earnings of $0.05 per share, surpassing consensus estimates of $0.03. Adjusted EBITDA reached $40.92 million, exceeding expectations of $30.38 million by 34.7%. Clover Health raised its full-year revenue guidance to $2.96 billion at the midpoint, up from $2.87 billion previously. Full-year EBITDA guidance of $77.5 million also came in above analyst estimates of $58.44 million. The company's customer base grew to 157,309, up from 155,773 in the previous quarter. Operating margin improved to 3.8%, compared with negative 2.2% in the same period last year.

Yahoo Finance
Aug 3rd, 2026
Clover Health swings to $27M profit as revenue surges 62% and Medicare membership jumps 52%

Clover Health swung to $27 million GAAP net income in Q1 2026, compared with a $1.27 million loss the previous year. Revenue surged 62% year over year to $749 million, beating estimates by nearly 5%. The Nashville-based Medicare Advantage insurer saw membership jump 52% to 154,607. Operating cash flow reached $108 million, up 762% year over year. However, medical claims grew faster than premiums, with unpaid claims climbing to $260 million from $153 million at year-end 2025. The insurance benefit expense ratio rose 40 basis points to 86.5%. CEO Andrew Toy reaffirmed full-year 2026 guidance targeting revenue of $2.81 billion to $2.92 billion and the company's first full year of GAAP profitability. Shares trade at 82 times forward earnings following a 77.5% year-to-date gain.

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